Kenneth D. Common, O.d., P.s. - Olympia, WA

Kenneth D. Common, O.d., P.s.

Clinic/Center in Olympia, Washington

NPI 1811052798

Kenneth D. Common, O.d., P.s. is a Clinic/Center based in Olympia, WA. Kenneth D. Common, O.d., P.s. practices in Olympia, WA. The NPI Number for Kenneth D. Common, O.d., P.s. is 1811052798 and holds a License No. 1155 (Washington).

The current practice location address for Kenneth D. Common, O.d., P.s. is 625 Black Lake Blvd Sw, Olympia, WA and can be reached out via phone at 360-357-2544 and via fax at 360-357-6341.

Location: 625 Black Lake Blvd Sw, Olympia, WA, 98502-5066

NPI Number

1811052798

Provider Name

Kenneth D. Common, O.d., P.s.

Credential

Provider Entity Type

Organization

Address

625 Black Lake Blvd Sw, Olympia, WA, 98502-5066

Phone Number

360-357-2544

Fax Number

360-357-6341

Provider Enumeration Date

12/22/2006

Last Update Date

03/08/2024

Address

625 Black Lake Blvd Sw

City

Olympia

State

Washington

Zip

98502-5066

Phone Number

360-357-2544

Fax Number

360-357-6341

Address

625 Black Lake Blvd Sw

City

Olympia

State

Washington

Zip

98502-5066

Phone Number

360-357-2544

Fax Number

360-357-6341

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

1155 (Washington)

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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